DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JILL AMY WALLACE-ROSS, DO

Active

DR. JILL AMY WALLACE-ROSS, DO is a Family Medicine healthcare provider located in FT. LAUDERDALE, Florida. NPI 1770722043 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FT. LAUDERDALE, FL

Registration Details

NPI Number
1770722043
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2009 (17.469590298116 yrs)
Last Updated
Feb 15, 2012
License
OS10880 (FL)

Practice Information

Address
3200 S. UNIVERSITY DRIVE
SANFORD L. ZIFF BLDG.
FT. LAUDERDALE, FL, 333282018
Browse FL providers · Browse ZIP 33328
Phone
9542624100
Fax
9542622271
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FT. LAUDERDALE, FL

Name Credential NPI
DR. PAULA L. ANDERSON-WORTS D.O., M.P.H. 1205886231
ROBERT S. OLLER D.O. 1811268626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.